republic-os/legislation/us/states/mo/2023/sb-45.md

---
type: "Bill"
title: "Modifies provisions relating to health care"
description: "Modifies provisions relating to health care"
jurisdiction: "us/states/mo"
legislature: "Missouri General Assembly"
session: "2023"
identifier: "SB 45"
citation: "Missouri SB 45 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Gannon"]
version_count: 6
action_count: 68
vote_count: 0
first_action: "2022-12-01T06:00:00+00:00"
last_action: "2023-07-06T05:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/99f1222b-80bc-4659-9f67-23936ab5aeaa"
source_url: "http://www.senate.mo.gov/23info/BTS_Web/Bill.aspx?SessionType=R&BillID=44414"
source_hash: "22f71bbfda8cf675043b37ff425ca9d02cef7075ae5f9376c650124b998326b3"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-mo"]
---

# Missouri SB 45 (2023) — Modifies provisions relating to health care

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://www.senate.mo.gov/23info/pdf-bill/intro/SB45.pdf)
2. **0453S.06F - SS SCS Adopted, as amended** (committee substitute) — [source](http://www.senate.mo.gov/23info/BTS_Web/ShowAmendment.aspx?Id=96)
3. **0453S06.08S - SA 1 SS SCS Adopted** (committee substitute) — [source](http://www.senate.mo.gov/23info/BTS_Web/ShowAmendment.aspx?Id=99)
4. **0453S10.1SR - CCR HCS SS SCS Adopted** (committee substitute) — [source](http://www.senate.mo.gov/23info/BTS_Web/ShowAmendment.aspx?Id=777)
5. **House Committee Substitute** (committee substitute) — [source](https://www.senate.mo.gov/23info/pdf-bill/House/HCS-SB/SB0045.pdf)
6. **Missing description** (committee substitute) — [source](https://www.senate.mo.gov/23info/pdf-bill/comm/SB45.pdf)

## Sponsors

- Gannon — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2022-12-01T06:00:00+00:00** Prefiled
- **2023-01-04T06:00:00+00:00** S First Read `reading-1`
- **2023-01-12T06:00:00+00:00** Second Read and Referred S Health and Welfare Committee `reading-2, referral-committee`
- **2023-01-18T06:00:00+00:00** Hearing Conducted S Health and Welfare Committee
- **2023-02-01T06:00:00+00:00** SCS Voted Do Pass (w/SCS SBs 45 & 90) Health and Welfare Committee (0453S.02C) `committee-passage`
- **2023-02-02T06:00:00+00:00** Reported from S Health and Welfare Committee w/SCS
- **2023-02-14T06:00:00+00:00** Bill Placed on Informal Calendar
- **2023-02-21T06:00:00+00:00** SS for SCS S offered (Gannon)--(0453S.06F)
- **2023-02-21T06:00:00+00:00** SA 1 to SS for SCS S offered & adopted (Thompson Rehder)--(0453S06.08S)
- **2023-02-21T06:00:00+00:00** SS for SCS, as amended, S adopted `passage`
- **2023-02-21T06:00:00+00:00** Perfected
- **2023-02-22T06:00:00+00:00** Reported Truly Perfected S Rules, Joint Rules, Resolutions and Ethics Committee
- **2023-02-22T06:00:00+00:00** Referred S Fiscal Oversight Committee `referral-committee`
- **2023-03-02T06:00:00+00:00** Voted Do Pass S Fiscal Oversight Committee `committee-passage`
- **2023-03-02T06:00:00+00:00** Reported from S Fiscal Oversight Committee
- **2023-03-02T06:00:00+00:00** S Third Read and Passed - EC adopted `passage, reading-3`
- **2023-03-02T06:00:00+00:00** H First Read `reading-1`
- **2023-03-06T06:00:00+00:00** H Second Read `reading-2`
- **2023-03-28T05:00:00+00:00** Referred H General Laws `referral-committee`
- **2023-04-04T05:00:00+00:00** Hearing Conducted H General Laws
- **2023-04-11T05:00:00+00:00** HCS Voted Do Pass H General Laws `committee-passage`
- **2023-04-12T05:00:00+00:00** HCS Reported Do Pass H General Laws `committee-passage`
- **2023-04-12T05:00:00+00:00** Referred H Rules - Legislative Oversight `referral-committee`
- **2023-04-17T05:00:00+00:00** HCS Voted Do Pass H Rules - Legislative Oversight `committee-passage`
- **2023-04-20T05:00:00+00:00** HCS Reported Do Pass H Rules - Legislative Oversight `committee-passage`
- **2023-04-26T05:00:00+00:00** Referred H Fiscal Review Committee `referral-committee`
- **2023-05-01T05:00:00+00:00** HCS Voted Do Pass H Fiscal Review `committee-passage`
- **2023-05-01T05:00:00+00:00** HCS Reported Do Pass H Fiscal Review `committee-passage`
- **2023-05-01T05:00:00+00:00** HA 1 to HCS H offered & adopted (Stinnett)--(0453H07.27H)
- **2023-05-01T05:00:00+00:00** HA 2 to HCS H offered & adopted (Stinnett)--(0453H07.20H)
- **2023-05-01T05:00:00+00:00** HA 3 to HCS H offered (Riley)--(0453H07.10H)
- **2023-05-01T05:00:00+00:00** HA 1 to HA 3 to HCS H offered & adopted (McGaugh)--(0453H07.35H)
- **2023-05-01T05:00:00+00:00** HA 3 to HCS, as amended H adopted--(0453H07.10H)
- **2023-05-01T05:00:00+00:00** HA 4 to HCS H offered (Henderson)--(0453H07.18H)
- **2023-05-01T05:00:00+00:00** HA 1 to HA 4 to HCS H offered & adopted (Dinkins)--(0453H07.45H)
- **2023-05-01T05:00:00+00:00** HA 4 to HCS, as amended, H adopted--(0453H07.18H)
- **2023-05-01T05:00:00+00:00** HA 5 to HCS H offered (Kelly-141)--(0453H07.39H)
- **2023-05-01T05:00:00+00:00** HA 1 to HA 5 to HCS H offered & adopted (Nickson-Clark)--(0453H07.53H)
- **2023-05-01T05:00:00+00:00** HA 2 to HA 5 to HCS H offered & adopted (Bosley)--(0453H07.59H)
- **2023-05-01T05:00:00+00:00** HA 5 to HCS, as amended, H adopted--(0453H07.39H)
- **2023-05-01T05:00:00+00:00** HA 6 to HCS H offered (Shields)--(0453H07.12H)
- **2023-05-01T05:00:00+00:00** HA 1 to HA 6 to HCS H offered & adopted (Murphy)--(0453H07.48H)
- **2023-05-01T05:00:00+00:00** HA 2 to HA 6 to HCS H offered & adopted (Haden)--(0453H07.49H)
- **2023-05-01T05:00:00+00:00** HA 3 to HA 6 to HCS H offered & adopted (Cook)--(0453H07.64H)
- **2023-05-01T05:00:00+00:00** HA 4 to HA 6 to HCS H offered & adopted (Lewis)--(0453H07.63H)
- **2023-05-01T05:00:00+00:00** HA 5 to HA 6 to HCS H offered & defeated (Mann)--(0453H07.61H)
- **2023-05-01T05:00:00+00:00** HA 6 to HCS, as amended, H adopted--(0453H07.12H)
- **2023-05-01T05:00:00+00:00** HA 7 to HCS H offered & adopted (Busick)--(0453H07.28H)
- **2023-05-01T05:00:00+00:00** HA 8 to HCS H offered & adopted (Davidson)--(0453H07.40H)
- **2023-05-01T05:00:00+00:00** HA 9 to HCS H offered & adopted (Hardwick)--(0453H07.22H)
- **2023-05-01T05:00:00+00:00** HA 10 to HCS H offered & adopted (Perkins)--(0453H07.26H)
- **2023-05-01T05:00:00+00:00** HCS, as amended, H adopted
- **2023-05-01T05:00:00+00:00** H Third Read and Passed - EC adopted `passage, reading-3`
- **2023-05-02T05:00:00+00:00** S refuses to concur in HCS, as amended and requests H recede or grant conference
- **2023-05-02T05:00:00+00:00** H refuses to recede and grants conference
- **2023-05-02T05:00:00+00:00** House conferees appointed: Stinnett, Kelly(141), Haden, Crossley, Baringer
- **2023-05-03T05:00:00+00:00** S conferees appointed: Gannon, Coleman, Thompson Rehder, McCreery, Arthur
- **2023-05-05T05:00:00+00:00** CCR S offered & adopted (Gannon)
- **2023-05-05T05:00:00+00:00** CCS S Third Read and Passed - EC adopted `passage, reading-3`
- **2023-05-05T05:00:00+00:00** H distributes CCR/CCS--(0453S.10S)
- **2023-05-12T05:00:00+00:00** H adopts CCR
- **2023-05-12T05:00:00+00:00** CCS H Third Read and Passed - EC adopted `passage, reading-3`
- **2023-05-12T05:00:00+00:00** Truly Agreed To and Finally Passed `passage`
- **2023-05-30T05:00:00+00:00** Reported Duly Enrolled Rules, Joint Rules, Resolutions & Ethics Committee
- **2023-05-30T05:00:00+00:00** Signed by Senate President Pro Tem
- **2023-05-30T05:00:00+00:00** Signed by House Speaker
- **2023-05-30T05:00:00+00:00** Delivered to Governor
- **2023-07-06T05:00:00+00:00** Signed by Governor `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/99f1222b-80bc-4659-9f67-23936ab5aeaa`. Confidence: reported (aggregated from official Missouri legislature records).